营养风险筛查和BMI在克罗恩病患者营养评估中的应用(1)
摘要：目的 運用营养风险筛查(NRS-2002)和体重指数(BMI)评估克罗恩病患者的营养状况。方法 选取2014年9月～2018年5月重庆医科大学附属第一医院胃肠外科收治的43例克罗恩病患者作为研究对象。运用NRS-2002和BMI对全组患者进行营养状况评估，比较克罗恩病合并肠皮瘘患者和非肠皮瘘患者的营养筛查评分、BMI及血红蛋白计数。结果 43例患者营养风险评分≥3分者21例，发生率48.84%;BMI<18.5 kg/m2者9例，发生率20.93%。合并肠皮瘘患者营养风险评分≥3分者9例，发生率81.81%;BMI<18.5 kg/m2者6例，发生率54.55%。非肠皮瘘患者营养风险评分≥3分者12例，发生率37.50%;BMI<18.5 kg/m2者3例，发生率9.38%。合并肠皮瘘患者营养风险和营养不良的发生率分别为81.81%和37.50%，高于非肠皮瘘患者的54.55%和9.38%，差异有统计学意义(P<0.05)。43例患者中发生贫血23例，其中合并肠皮瘘7例，非肠皮瘘患者16例，非肠皮瘘患者及肠皮瘘患者之间无统计学差异(P>0.05)。结论 克罗恩病患者营养风险和营养不良发生率高，克罗恩病合并肠皮瘘患者较非肠皮瘘患者具有更高的营养风险和营养不良发生率。因此应加强围手术期克罗恩病患者的营养支持治疗，尤其是合并肠皮瘘患者。
, 百拇医药
关键词：克罗恩病;营养风险筛查(NRS-2002);BMI;营养评估
中图分类号：R574.62 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.08.039
文章编号：1006-1959(2019)08-0133-03
Abstract：Objective To assess the nutritional status of patients with Crohn's disease using nutritional risk screening (NRS-2002) and body mass index (BMI). Methods 43 patients with Crohn's disease admitted to the First Affiliated Hospital of Chongqing Medical University from September 2014 to May 2018 were selected as subjects. NRS-2002 and BMI were used to evaluate the nutritional status of the whole group of patients， and the nutritional screening scores， BMI and hemoglobin counts of Crohn's disease patients with intestinal fistula and non-intestinal fistula were compared. Results 43 patients with nutritional risk score ≥3 were enrolled in 21 patients， the incidence rate was 48.84%; 9 patients with BMI <18.5 kg/m2， the incidence rate was 20.93%. In patients with intestinal sputum， the nutritional risk score was ≥3 points in 9 cases， the incidence rate was 81.81%; BMI <18.5 kg/m2 in 6 cases， the incidence rate was 54.55%. In patients with non-intestinal fistula， 12 patients had a nutritional risk score of ≥3， the incidence rate was 37.50%; 3 patients with BMI <18.5 kg/m2， the incidence rate was 9.38%. The incidence of nutritional risk and malnutrition in patients with intestinal fistula was 81.81% and 37.50%， respectively， which was higher than that of non-intestinal fistula patients (54.55% and 9.38%)，the difference was statistically significant (P<0.05). Of the 43 patients， 23 had anemia， including 7 patients with intestinal fistula and 16 patients with non-intestinal fistula. There was no significant difference between patients with non-intestinal fistula and patients with intestinal fistula (P>0.05).Conclusion Patients with Crohn's disease have a high incidence of nutritional risk and malnutrition. Patients with Crohn's disease and intestinal fistula have higher nutritional risk and malnutrition rate than patients with non-intestinal fistula. Therefore， nutritional support for patients with Crohn's disease during perioperative period should be strengthened， especially in patients with intestinal fistula., 百拇医药(曾翔 文星 常一航 沈金 唐华)
, 百拇医药
关键词：克罗恩病;营养风险筛查(NRS-2002);BMI;营养评估
中图分类号：R574.62 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.08.039
文章编号：1006-1959(2019)08-0133-03
Abstract：Objective To assess the nutritional status of patients with Crohn's disease using nutritional risk screening (NRS-2002) and body mass index (BMI). Methods 43 patients with Crohn's disease admitted to the First Affiliated Hospital of Chongqing Medical University from September 2014 to May 2018 were selected as subjects. NRS-2002 and BMI were used to evaluate the nutritional status of the whole group of patients， and the nutritional screening scores， BMI and hemoglobin counts of Crohn's disease patients with intestinal fistula and non-intestinal fistula were compared. Results 43 patients with nutritional risk score ≥3 were enrolled in 21 patients， the incidence rate was 48.84%; 9 patients with BMI <18.5 kg/m2， the incidence rate was 20.93%. In patients with intestinal sputum， the nutritional risk score was ≥3 points in 9 cases， the incidence rate was 81.81%; BMI <18.5 kg/m2 in 6 cases， the incidence rate was 54.55%. In patients with non-intestinal fistula， 12 patients had a nutritional risk score of ≥3， the incidence rate was 37.50%; 3 patients with BMI <18.5 kg/m2， the incidence rate was 9.38%. The incidence of nutritional risk and malnutrition in patients with intestinal fistula was 81.81% and 37.50%， respectively， which was higher than that of non-intestinal fistula patients (54.55% and 9.38%)，the difference was statistically significant (P<0.05). Of the 43 patients， 23 had anemia， including 7 patients with intestinal fistula and 16 patients with non-intestinal fistula. There was no significant difference between patients with non-intestinal fistula and patients with intestinal fistula (P>0.05).Conclusion Patients with Crohn's disease have a high incidence of nutritional risk and malnutrition. Patients with Crohn's disease and intestinal fistula have higher nutritional risk and malnutrition rate than patients with non-intestinal fistula. Therefore， nutritional support for patients with Crohn's disease during perioperative period should be strengthened， especially in patients with intestinal fistula., 百拇医药(曾翔 文星 常一航 沈金 唐华)